04/06/2024
Our 'Nerve Blocks for Limb Surgery' is a great in-clinic CPD course for any vets wanting to optimise intraoperative and postoperative pain management.
Sydney Animal Pain Clinic
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We are highly specialised and caring veterinarians providing pain relief for acute and chronic conditions. We are proud of providing a unique service.
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We will provide a holistic analgesia plan involving medications and analgesic procedures.
21/05/2024
Cats are not small dogs, and this applies to both anaesthesia and pain management. Diagnosis, response assessment, complimentary therapies, drug therapies, doses and frequencies are some of the species specific considerations.
07/05/2024
In-clinic anaesthesia training is a great way to get your whole team involved in optimising patient care. Our courses cater to both vets and nurses and cover everything from what we should be telling owners when they first book an anaesthetic procedure for their pet, to our post-operative pain relief options.
24/11/2023
It's almost time for our last Webinar of the year. Join us! Monday December 4th. Chronic pain management - diagnosis, treatment and management.
16/11/2023
Mouth gags in cats…. as a general rule we shouldn’t be using them, as we know there’s potential for cerebral hypoxia during complete opening of the feline mouth, which can result in blindness. However, there are some situations where complete opening of the mouth is needed for the surgery. We managed this requirement in this case by intermittently (every five minutes) stopping surgery to close the cat’s mouth, aiming to maintain cerebral blood flow.
08/11/2023
Regional anaesthesia is a great way to optimise your surgical patient's pain management. We offer in-clinic training to teach your team nerve blocks of the forelimb and hindlimb, as well as an epidural technique. We discuss the when, why and how of nerve blocks with drug selection and block technique covered. Please contact us through our website for more information.
14/10/2023
Join us for our next Webinar, Monday October 23rd - Acute Pain Management. This is a clinically focussed webinar to help you with the diagnosis and management of your acute pain in your patients.
19/09/2023
Where to put the pulse ox? Originally designed for a human finger it can be hard to find a place to put the pulse ox on our veterinary patients. The tongue is usually our best bet - non-pigmented with good pulsatile blood flow it’s usually reliable. If the surgeon is working in the mouth you’ll need to find somewhere else. Here we’ve used the toe. We can see there is a nice pulse wave on the monitor so we know the pulse ox is working well here.
07/09/2023
Bonnie is a gorgeous adult patient, weighing just 1.5kg. What additional considerations do we have for smaller patients? Smaller body size increases susceptibility to hypothermia. The recent AAHA preoperative feeding guidelines recommend 1-2 hours fasting for animals under 2kg. Monitoring smaller patients can be harder with equipment often more difficult to place, and equipment dead space becoming more significant.
30/08/2023
What’s your anaesthetic intravenous fluid rate? Current recommendations are 5ml/kg/hr, or 3mL/kg/hr for patients with cardiac disease and cats. The AAHA have some great detailed guidelines if you’re up for a bit of reading.
22/08/2023
Yes possums can be intubated! This guy is just 600 grams. He was in hospital for a tail injury that needed surgery. We were able to secure his airway with an endotracheal tube, and administer an epidural for pain management for his surgery. He had a great recovery and will be back climbing trees soon.
16/08/2023
Join us for our next Webinar, Thursday August 24th. This time we're discussing Anaesthesia in patients with underlying renal disease - how do we manage these guys from the preoperative period to the postoperative. Sign up via our website.
08/08/2023
What’s the benefit of using a nerve stimulator to find the epidural space? You get a visible response to let you know when you enter the space - a tail flick. This is one of our preferred techniques for epidural space location. This technique is included in our nerve block course.
26/07/2023
Gary is a gorgeous older man that we saw for anaesthesia for his dental disease. We loved having him as our patient. A multimodal approach to analgesia helps us reduce anaesthetic requirements. Pain management was started preoperatively with premedication (opioids), intraoperatively with injectable medications (ketamine) and nerve blocks (local anaesthetics), and post-operatively with injectable medications (opioids and non-steroidals) followed by oral medications (non-steroidals) at home.
10/07/2023
Platelet rich plasma (PRP) is a product, made from a patients own blood, containing a high concentration of platelets (healing cells). We use PRP as an intraarticular (into the joint) treatment to help with the management of joint pain.
03/07/2023
Can you spot a second degree heart block? This occurs when a P wave (atrial contraction) is not followed by a QRS (ventricular contraction). It is one of the most common arrhythmias we see in veterinary patients under anaesthesia. If you don’t have an ECG on your patient might hear a ‘dropped beat’ with your pulse ox. If we need to treat this arrhythmia we can use atropine.
25/06/2023
Gorgeous Bear is back in to see us for help with managing his osteoarthritis. Bear is one of our older patients, and as expected for his age has arthritis in many joints. Bear is managed with oral pain medications and nerve blocks localised for his back pain. He’s a sweetheart and we’re always happy when we get to see him again.
23/06/2023
If your pulse ox displays a pulse wave this can be helpful. A pulse wave that is regular and aligned with the patient's heart rate (as in this picture) indicates that the pulse oximeter has a reliable source for it's reading (the patient's pulse) and the number you are seeing is more likely to be correct. A pulse wave that is variable, erratic and has a baseline that can't be determined can be considered less reliable. These may be the times when adding a swab to increase the thickness of the tissue can help provide for more reliable results.
14/06/2023
Cats with HCM may need anaesthesia for any number of reasons. Should they continue their long-term cardiac medications before their anaesthesia? We discuss this and many other anaesthetic considerations in our upcoming webinar.
09/06/2023
Our anaesthetic circuits fall into two categories, non-rebreathing or rebreathing. This is determined by whether the patient rebreaths some of their own breath, or not. Rebreathing systems include soda lime which removes the carbon dioxide, so the patient can then rebreath the some of their expired breath. The patient needs to be of an adequate size that they can expel their breath through the soda lime (this can take some effort as this is a point of resistance). Non-rebreathing systems use high oxygen flows to remove carbon dioxide. Higher oxygen flows mean higher oxygen (and isoflurane) wasted into the enviroment.
06/06/2023
Join us next Thursday for our Webinar 'Anaesthesia with Cardiac Disease'. Help reduce your stress the next time you have a patient with a murmur that needs anaesthesia.
02/06/2023
Does your heart rate increase at the idea of anaesthetising a patient with mitral valve disease? The small fluffy dog that needs a dental... The cavalier that needs an ex-lap... In our upcoming webinar we will discuss what anaesthesia means for our patients with mitral valve disease, and how we can best manage these patients so that they come out of the anaesthetic with the same cardiac function they went into it with.
30/05/2023
How do you choose your rebreathing bag? It functions to provide an important reservoir in your anaesthesia circuit. The bag should be more than your patient’s maximum breath (lung volume). You can calculate this via tidal volume (10mL per kilogram) times six. Round up to the next sized bag. Bags that are too small risk the patient collapsing the bag when taking a breath, which could interfere with respiratory function.
19/05/2023
Isoflurane is a potent greenhouse gas. Reducing the amount of isoflurane we use is one way to reduce the carbon cost of veterinary anaesthesia. Check your patient regularly - can you reduce the isoflurane? Can you add in an infusion of analgesic medications, or could you perform a nerve block, to help reduce your isoflurane? Have you calculated the oxygen flow rate for each patient? A non-rebreathing circuit requires approximately 200ml/kg/min, whereas a rebreathing circuit requires only 20-30ml/kg/min. Appropriate reduction in oxygen flow rates can make a big difference to the amount of isoflurane scavenged into our environment. We recently presented a webinar, for Vets for Climate Action, to discuss the carbon cost of veterinary anaesthesia in detail. You can now view this for free via their website.
11/05/2023
Epidural treatments are one of the most common treatments we perform for pain management of back pain. Epidurals are also commonly used for acute pain, such as surgical pain for procedures of the abdomen and distally.
06/05/2023
Recovery is a critical part of anaesthesia. Hypothermia is one of the most common complications that can occur during this time. Shivering causes a significant increase in oxygen consumption. Active warming and oxygen are helping make this transition period faster and smoother for lovely Sebastian.
11/04/2023
Have you tried preoxygenating while you place your IVC? If you’ve given an intramuscular sedation this can be a great time saver. When you’re catheter is in place you’ll be ready to induce with a nicely preoxygenated patient :)
05/04/2023
Byron is such a sweet older man, who as expected for his age, has generalised osteoarthritis. Byron’s pain is managed with both medications, and interventional procedures. He was at the clinic for a top up of epidural treatment for localised pain around his back and hips. Byron’s owners keep him in trim shape which is great for reducing weight bearing of his joints, another important component of arthritis management.
27/03/2023
This gorgeous girl has elbow arthritis. She has been managed well with various treatments over her life including medications and joint treatments. She came to see us to help optimise her arthritis management. She has responded well to some extra help with nerve blocks.
21/03/2023
Join us Monday April 3rd at 8pm for our 'Management of Intraoperative Complications' Webinar. Clincally focussed webinar to help guide you through some of the most common intraoperative anaesthesia complications.
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What’s the benefit of using a nerve stimulator to find the epidural space? You get a visible response to let you know when you enter the space - a tail flick. This is one of our preferred techniques for epidural space location. This technique is included in our nerve block course. #vet #vets #painmanagement #veterinarymedicine #sydneyvets #sydneyvet #interventionalpainmanagement #sydneyanimalanaesthesia #vetnerveblocks
Can you spot a second degree heart block? This occurs when a P wave (atrial contraction) is not followed by a QRS (ventricular contraction). It is one of the most common arrhythmias we see in veterinary patients under anaesthesia. If you don’t have an ECG on your patient might hear a ‘dropped beat’ with your pulse ox. If we need to treat this arrhythmia we can use atropine. #vet #vets #vetanaesthesia #animalanaesthesia
Ruby first came to SAPC for treatment of arthritis in her elbows and hind limbs. This was managed successfully with medication. Six months ago Ruby suffered a stroke and became paralysed in her left forelimb. This paralysis increased the weight bearing for her other limbs and Ruby’s arthritis got worse. With a huge amount of care from her owners Ruby has made a steady recovery - as you can see Ruby is now walking well, with a residual lameness in her left forelimb. Along the way we have managed Ruby’s pain with varying medications and physiotherapy. Chronic pain management is an ever evolving condition and we will continue to work with Ruby’s owners to ensure her quality of life is the best it can be. #vet #vets #painmanagement #veterinarymedicine #sydneyvets #sydneyvet #interventionalpainmanagement #nerveblock
Ramps can be a a great part of your pet’s pain management. Jumping can be pain inducing for dogs with sore joints. Dogs that could previously jump up into the car, onto the lounge or into bed may stop this behaviour when the pain prevents this movement. Here you can see Alfred using a ramp to get up onto his owners bed. #vet #vets #painmanagement #veterinarymedicine #sydneyvets #sydneyvet #interventionalpainmanagement #nerveblock #painmanagement
Welcome to our consulting team Becky! You may have already met Becky when booking in with us - she has been our Client Services Manager since last year. This week she has joined us on the road as our nurse. Becky has over 20 years experience in the veterinary industry, she is an amazingly kind, compassionate and intelligent veterinary nurse. We are very excited to have her on our team. #veterinarynurse #painmanagement #veterinarymedicine #sydneyvets #sydneyvet
Keep your kitty safe! #dogs #cat #cats #cute #petsofinstagram #dogsofinstagram #catsofinstagram #animalpain #ilovemypet #animalhealth #catlover #doglover #petlover #vet #vets #painmanagement #veterinarymedicine #sydneyvets #sydneyvet
Smart doggo! #dogs #cat #cats #cute #petsofinstagram #dogsofinstagram #catsofinstagram #animalpain #ilovemypet #animalhealth #catlover #doglover #petlover #vet #vets #painmanagement #veterinarymedicine #sydneyvets #sydneyvet
BFFs forever! 🐶❣️ #dogs #cat #cats #cute #petsofinstagram #dogsofinstagram #catsofinstagram #animalpain #ilovemypet #animalhealth #catlover #doglover #petlover #vet #vets #painmanagement #veterinarymedicine #sydneyvets #sydneyvet
This is Ruby - can you see her right forelimb limp? She has arthritis in her elbow. Ruby doesn’t like coming to the vet but luckily she’s great at eating medication in her food! Ruby has responded really well to a change in her medication regime to include some chronic pain medication - she is now back to jumping on the lounge at home! #vet #vets #painmanagement #veterinarymedicine #sydneyvets #sydneyvet #medicationoptimisation
#vet #vets #painmanagement #veterinarymedicine #sydneyvets #sydneyvet #pet #pets #dog #dogs #cat #cats #cute #petsofinstagram #dogsofinstagram #catsofinstagram #animalpain #ilovemypet #animalhealth #catlover #doglover #petlover
Take some time for yourself today! 💛 #selflove #vet #vets #painmanagement #veterinarymedicine #sydneyvets #sydneyvet #pet #pets #dog #dogs #cat #cats #cute #petsofinstagram #dogsofinstagram #catsofinstagram #animalpain #ilovemypet #animalhealth #catlover #doglover #petlover
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Identification of the epidural space
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